Provider Demographics
NPI:1386905149
Name:BAITH, RAND D (PA-C)
Entity type:Individual
Prefix:MR
First Name:RAND
Middle Name:D
Last Name:BAITH
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:130 WHITE HERON LN
Mailing Address - Street 2:
Mailing Address - City:SWANSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28584-7833
Mailing Address - Country:US
Mailing Address - Phone:614-342-0596
Mailing Address - Fax:
Practice Address - Street 1:4370 ARENDELL ST STE A
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2800
Practice Address - Country:US
Practice Address - Phone:252-222-0204
Practice Address - Fax:252-222-0433
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-07583363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant